Claim and encounter addresses

Health care providers can use the addresses below to submit paper claims. Please keep in mind, however, that the claim or encounter mailing address on the member’s ID card is always the most appropriate to use.

Providers who need guidance on creating electronic submissions that are complaint with the Health Insurance Portability and Accountability Act (HIPAA) may contact a Humana e-business consultant at deployment@humana.com for assistance.

Valid NPI required on all submitted claims/encounters

To satisfy a requirement by the Centers for Medicare & Medicaid Services (CMS), Humana must receive provider claims/encounters data with a valid National Provider Identifier (NPI). Claims/encounters submitted without the NPI will be rejected and returned to the submitting provider.

For more information, review these frequently asked questions or visit this CMS website.

Paper claim and encounter submissions addresses

Humana medical claims:
Humana Claims
P.O. Box 14601
Lexington, KY 40512-4601

Humana of Ohio claims: (formerly ChoiceCare®)
Humana Claims
P.O. Box 14601
Lexington, KY 40512-4601

HumanaDental® claims:
HumanaDental Claims
P.O. Box 14611
Lexington, KY 40512-4611

Humana encounters:
Humana Claims/Encounters
P.O. Box 14605
Lexington, KY 40512-14605

Claim overpayments:
Humana
P.O. Box 931655
Atlanta, GA 31193-1655
1-800-438-7885

Private-fee-for-service (PFFS) claims submissions:
Humana Claims Office
P.O. Box 14601
Lexington, KY 40512-4601

HumanaOne® claim submissions:
HumanaOne
P.O. Box 14635
Lexington, KY 40512-4635

Claims submission time frames

Health care providers are encouraged to take note of the following claims submission time frames:

Medicare Advantage: Claims must be submitted within one calendar year from date of service.
Commercial: Claims must be submitted within the time stipulated in the provider agreement or the applicable state law. Generally, these claims must be submitted within:

  • 180 days from the date of service for physicians
  • 90 days from the date of service for facilities and ancillary providers

Billing guidelines for roster bills submitted on paper claims

Physicians and other health care providers should follow the billing guidelines below when submitting roster bills to Humana:

  • Physicians and health care providers may submit multiple documents in a single large envelope.
  • Documents may include information regarding multiple patients.
  • Physicians and health care providers may submit CMS 1500 forms or UB04 forms with an attachment listing multiple patients receiving the same service. The claim form should have the words "see attachment" in the "Member ID" box.

Please send roster bills to the following address:
Humana
Attn: Claims
P.O. Box 14601
Lexington, KY 40512